The construction of patient quality management model in oral Post Anesthesia Care Unit in China：A grounded theory approach

Abstract

Abstract Background Nowadays, people have paid more and more attention to the health-related quality of life after oral surgery anesthesia. As a common feature of patient quality management, it can effectively reduce the risk of postoperative complications and death in oral Post Anesthesia Care Unit (PACU). Still, little is known about the management model in oral PACU, especially in China. The purpose of this study is to explore the management elements of patient quality management in the oral PACU, and to construct the management model. Methods Using Strauss and Corbin's grounded theory method, medical staff(n = 12) from oral PACU of a tertiary stomatological hospital were interviewed by semi-structured interviews from March to June, 2022. With the help of QSR NVivo 12.0 qualitative analysis tool to collect and analyze data using a procedural grounded theory paradigm. Results In the end, the patient quality management model of oral PACU could be summarized into three themes: three of the core team members: stomatological anesthesiologists, stomatological anesthesia nurses and nursing administrators. Three of the main functions of the team: education and training, patient care and quality control. Four of the team operation processes: analysis, plan, do, check. Conclusion The patient quality management model of the oral PACU is helpful for the professional identity and career development of stomatological anesthesia staff in China, which can accelerate the professional development of oral anesthesia nursing quality. According to the model, the patient's pain and fear will decrease and safety and happiness will increase in oral PACU. It can make contributions to the theoretical research and clinical practice in the future.